Melrose Chateau

Type of visit: Required - 1 Year

On 05/11/26, 10:30 AM, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced annual visit at this facility. LPA met with the Administrator, and reason for the visit was disclosed. Facility is licensed as a single-story residence, fire clearance for twelve (12) non-ambulatory, of which, twelve (12) may be bedridden. Hospice waiver for twelve (12). Facility has six (6) shared resident bedrooms, and seven (7) bathrooms; one bathroom is available for use by both residents and staff. At the time of this inspection,none of the facility's residents are receiving hospice care. Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displayed a setting of 75.°F., within the required range. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 4/29/2026. At 11:00 am, LPA conducted a tour of the physical plant with the Administrator, and observed the following: Kitchen: LPA observed kitchen to be clean, with an adequate supply of perishable and non-perishable foods located in the refrigerator, freezer, and pantry. LPA observed a variety of fresh fruits, vegetables, meats, dry cereals, and desserts. Foods are properly labeled and stored. Knives and sharps are stored in a designated area of the kitchen. Kitchen is secured and inaccessible to residents. [Continued on LIC 809C]- Fire Detection: Multiple smoke alarms and Carbon Monoxide sensors are hardwired, and interconnected; detectors were tested and function properly. LPA observed a fire extinguisher located in the kitchen area, with service date: 4/22/2026. Fire drill last conducted 4/29/2026. Medications Located on the second floor, medication room was observed as locked, and inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is complete and stored in the medication cart. Laundry area is secure and inaccessible to residents. Washer and Dryer machines were working properly. Laundry room, soaps, and other cleaning agents are stored and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Commons: LPA observed all common areas of the facility, including the living room and resident dining area adjacent to the kitchen. LPA observed common areas to be clean, with adequate furnishings in good repair. Bedrooms At 1:20 PM, LPA observed bedrooms as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. All bedrooms are equipped with a signaling system for Residents to request Staff assistance. Signaling system was tested; Staff responded to signal is less than three minutes. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 114.0°F. Within the required range. Hand towels are not shared. Outdoor: Courtyard observed to have a shaded patio area, with a table, and sufficient seating for residents. Outdoor furniture observed to be in fair condition. Multiple sheds in the outdoor area contain tools, supplies, and PPE. All outdoor sheds were observed as locked and inaccessible to Residents. All trash cans were covered. There are no bodies of water in the facility. Staff records: LPA observed records stored in a locked room on the first floor, inaccessible to residents. Criminal record clearances were present, and Staff are associated to this facility. Staff records appear to be complete and current. [LIC809-C Continued] Resident records: LPA observed records stored in a locked room on the first floor, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be current and complete. No deficiencies cited, exit interview conducted, and copy of this report and appeal rights issued.the state’s words, verbatim · CDSS document, May 11, 2026

Type of visit: Office

Case Management – Office Date: January 23, 2026 Time: 10:00 AM Location: Virtual An Office meeting was held virtually on January 23, 2026, at 10:00 AM to discuss a pending selling/change of ownership of Pasadena Villas (198603286), Melrose Villas (197609076), Melrose Chateau (197609724) and Cedars Assisted Living (197608267). Attendees: • Angela Whittaker – Regional Manager/South Woodland Hills • Troy Agard – Licensing Program Manager • Gina Saucedo – Licensing Program Analyst • David Sicarios- Licensing Program Manager • Tony Vasallo- Regional Manager/Monterey Park • Stephan Sarmazian-Vice President for Operations • Jai Chung-(Consultant) • Shawn Zhou – Chief Financial Officer (Consultant) 809-C continued Introductions were conducted at the beginning of the meeting. Regional Manager Angela Whittaker requested confirmation on whether the above facilities were being sold and/or if there would be a change of ownership in the near future. It was confirmed that there will be a future change of ownership for Cedars Assisted Living; however, because the facility is currently under revocation, the prospective owner is waiting for Legal to make a decision regarding the revocation action. The new owner is New Gen LLC, and the transaction will be a stock acquisition rather than a licensee change. The prospective owner plans to provide residents with a thirty (30) day notice and intends to submit a Community Care Licensing application on February 25, 2026. A copy of this meeting summary was emailed to all attendees listed above with signature on file.the state’s words, verbatim · CDSS document, Jan 23, 2026

Allegation investigated: Staff are refusing to administer medication to a resident in care

On 01/21/26, at 9:15am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, initial complaint visit and was greeted by Administrator, Candis Allen. LPA explained the purpose of this visit was to gather information, interview staff and residents and deliver findings for this complaint. On 01/21/26, LPA Saucedo asked for the census, staff, and resident rosters. On 01/21/26, at 9:55am, LPA Saucedo conducted a physical tour. On 01/21/26, at 10:15am, LPA Saucedo started to conduct resident and staff interviews. LIC 9099C-continued Unsubstantiated Regarding the allegation: Staff relocated resident without proper notification. It is being alleged that resident #1 (R1) was moved without notice from one (1) building to another without notice. During LPA's interview with R1, R1 stated, "that they were originally in building 819 and was moved to building 823 without notice." During LPA's interview with Staff #1 (S1), S1 confirmed that R1 was moved from building 819 to building 823 because R1 was causing issues with residents in building 819 and was yelling at staff. LPA obtained and reviewed R1's admission agreement-page #12 and it did say that residents can be moved with the discretion of the executive director. Although the admission agreement does say this, S1 did not send any unusual reports to community care licensing department on behalf of R1's behaviors with residents and/or staff and S1 did not give R1 a thirty (30) day written notice of their room change. LPA interviewed four (4) out of five (5) residents that did not have an issue with R1 while living in building 819. LPA interviewed two (2) staff that did have an issue with R1 but those staff are also in the vicinity of building 823 that R1 now lives in. Therefore, based on the record reviews and interviews conducted, the allegation is SUBSTANTIATED at this time. An exit interview was conducted, citation(s) were issued, appeal rights and a copy of this report was given to the Administrator. Regarding the allegation: Staff are refusing to administer medication to a resident in care. It is being alleged that resident #1 (R1) is not been giving their medication. During LPA's interview with R1, R1 stated, "they had recently moved to the above facility and was not receiving their medication for about two (2) or three (3) days but now they are receiving their medication. LPA interviewed staff #1 (S1) and stated, "that R1 is receiving their medication." In addition, S1 confirmed that they were waiting for R1's prescription to transfer from the other facility that R1 came from. LPA also interviewed staff #2 (S2), that stated, "they were waiting for R1's medication release form from the prior facility that R1 came from to provide R1 with their medication." Also, S2 did confirm that R1 is receiving their medication since January 13, 2026. During LPA's record review of R1's admission agreement and Centrally Stored Medication Record R1 moved in January 12, 2026 and R1's medication was transferred the following day January 13, 2026 from the other facility R1 transferred from. The Centrally Stored Medication Record shows R1 was receiving their medication since January 13, 2026. LPA also interviewed seven (7) residents that confirm they do receive their medication. Therefore, based on the record reviews and interviews conducted, the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Jan 21, 2026 · control 31-AS-20260116105316

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87468.2(a)(16) · Plan of correction due date: Feb 4, 2026

(a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights: (16)To written notice of any room changes at least 30 days in advance unless a room change is agreed to by the resident, required to fill a vacant bed, or necessary due to an emergency. This requirement is not met by: Based on the LPA observation, record reviews and interviews the licensee/administrator did not ensure proper notice was given to the resident for room change the above facility which poses a potential Health, Safety or Personal Rights risks to persons in care.the state’s words, verbatim · CDSS document, Jan 21, 2026

Plan of correction: A training record of staff about personal rights of residents is to be sent to CCLD/LPA. POC Due Date: 02/04/26

Type of visit: Required - 1 Year

On 05/20/25, 10:35 AM, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced annual visit at this facility. LPA met with Facility Administrator, Alexcis Peralta , and reason for the visit was disclosed. Facility is licensed as a single-story residence, fire clearance for twelve (12) non-ambulatory, of which, twelve (12) may be bedridden. Hospice waiver for twelve (12). Facility has six (6) shared resident bedrooms, and seven (7) bathrooms; one bathroom is available for use by both residents and staff. At the time of this inspection, one (1) resident is non-ambulatory; no bedridden. None of the facility's residents are receiving hospice care at this time. Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Hand sanitizer, gloves, and masks are available. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displayed a setting of 71.°F., within the required range. An approved Mitigation and Infection Control plan is on file. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 3/29/2025. [LIC 809C-Continued] Fire Detection/Protection system Multiple smoke alarms and Carbon Monoxide sensors are installed throughout the facility; hardwired, and interconnected. Smoke and Carbon monoxide detectors were tested and function properly. LPA observed a fire extinguisher located in the kitchen area, with maintenance service date: 4/10/2025. Kitchen: At 11:15 AM, LPA observed kitchen as clean, equipped with functional stove, multiple appliances, with adequate supply of perishables and non-perishable food. Kitchen cabinets contain emergency dry food, can goods, condiments, dishes, plastic, paper goods and utensils. Food is observed as properly stored and refrigerated. Knives and sharps are secured and inaccessible to residents. Medications are stored in two (2) medications carts, located in a room adjacent to the dining area. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is complete and stored in the medication cart. However, upon inspection by LPA, one of the medication carts was found unlocked, which presents a potential for unauthorized access to residents and visitors. Laundry area is located in a separate building and and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Commons: LPA observed all common areas of the facility, including the living room and resident dining area adjacent to the kitchen. LPA observed common areas to be clean, with adequate furnishings in good repair. Bedrooms At 12:00 PM, LPA observed bedrooms as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. All bedrooms are equipped with a signaling system for Residents to request Staff assistance. Signaling system was tested; Staff responded to signal is less than three minutes. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hot water temperature measured at 116.5°F. Within the required range. Hand towels are not shared. [LIC809-C Continued] Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Multiple sheds in the outdoor area contain tools, supplies, and PPE. All Sheds were observed as locked and inaccessible to Residents. All trash cans were covered. There are no bodies of water in the facility. Resident records: LPA observed records stored in a locked and secured records room, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records: LPA observed records stored in a locked and secured records room, inaccessible to residents. Criminal record clearances were present and Staff are associated to this facility. Staff records appear to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to facility representative, Administrator Alexcis Peralta.the state’s words, verbatim · CDSS document, May 20, 2025

Type of visit: Required - 1 Year

On 06/17/24, 10:05 AM, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced Annual visit at this facility. LPA met with Facility Administrator, Alexcis Peralta , and reason for the visit was disclosed. Facility is licensed as a single-story residence, fire clearance for twelve (12) non-ambulatory, of which, twelve (12) may be bedridden. Hospice waiver for twelve (12). Facility has six (6) shared resident bedrooms and seven (7) bathrooms, of which, one bathroom is available for use by both residents and staff. At the time of this inspection, the Facility occupied eight (8) ambulatory residents, and two (2) non-ambulatory residents, none of which are bedridden. Currently, none of the Facility's residents are receiving hospice care. At 10:40 AM, LPA conducted a tour of the physical plant with the Facility's Maintenance Director, Saul Aranda, and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Screening area is located immediately upon entrance. Hand sanitizer, gloves, and masks are available. Covid 19 prevention protocols are posted. Hand washing, coughing etiquette, and other necessary signage are posted throughout the facility. Room temperature is comfortable; wall thermostat displayed a setting of 77.°F., within the required range. An approved Mitigation and Infection Control plan is on file. Required postings are prominently displayed and observed to be current. Disaster drills were last conducted on 6/14/2024. [LIC 809C Continued] Fire Detection/Protection system Multiple smoke alarms and Carbon Monoxide sensors are installed throughout the facility, hardwired, and interconnected. Smoke and Carbon monoxide detectors were tested and function properly. LPA observed a fire extinguisher located in the kitchen area, with maintenance service date: 4/11/2024. Kitchen: At 11:30 AM, LPA observed kitchen as clean, equipped with functional stove, multiple appliances, with adequate supply of perishables and non-perishable food. Kitchen cabinets contain emergency dry food, can goods, condiments, dishes, plastic, paper goods and utensils. Food is observed as properly stored and refrigerated. Knives and sharps are secured and inaccessible to residents. Medications are stored in secured medications carts located in a room adjacent to the dining area, and are inaccessible to residents. Medications are listed on a centrally stored medication and destruction record log. A First Aid kit is complete and stored in the medication cart. Laundry area is located in a separate building and and inaccessible to residents. Linen storage observed to have adequate supply of linen and towels. Commons: LPA observed all common areas of the facility, including the living room and resident dining area adjacent to the kitchen. LPA observed common areas to be clean, with adequate furnishings in good repair. Bedrooms At 12:15 PM, LPA observed bedrooms as clean with sufficient lighting, properly furnished with bedding, linens, at least one chair, and night stand. All bedrooms are equipped with a signaling system for Residents to request Staff assistance. Signaling system was tested; Staff responded to signal is less than three minutes. Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Multiple sheds in the outdoor area contain tools, supplies, and PPE. All Sheds were observed as locked and inaccessible to Residents. All trash cans were covered. There are no bodies of water in the facility. [LIC 809C Continued] Resident records: LPA observed records stored in a locked and secured records room, inaccessible to residents. Resident files were reviewed for current IPP and/or Needs and Services plans, physician report, and admission agreements. Resident records appeared to be complete and current. Staff records: LPA observed records stored in a locked and secured records room, inaccessible to residents. Criminal record clearances were present and Staff are associated to this facility. Staff records appear to be complete and current. There were no immediate health and safety hazards observed at the time of this inspection. Exit interview conducted and a copy of this report was given to facility representative, Administrator Alexcis Peralta.the state’s words, verbatim · CDSS document, Jun 17, 2024